Organization Active NPI

Smile Dental Wellness PC

  • Dental Clinic/Center
  • Manhasset, NY
National Provider Identifier
1558023507
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE DENTAL WELLNESS PC
Doing business as
Golden Dental Wellness Center
Practice address
444 Community Dr Ste 204
Manhasset, NY 11030-3820
Phone
(516) 627-8400
Fax
(516) 627-9047
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Syed Raza Hasnain Jafri
Title
Managing Director
Phone
(516) 627-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

444 Community Dr Ste 204
Manhasset, NY 11030-3820

Mailing address

444 Community Dr Ste 204
Manhasset, NY 11030-3820
Phone (516) 627-8400

Other names 1

  • Golden Dental Wellness Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL goldendental@optonline.net Direct

National Provider Directory

National Provider Directory

Locations

444 Community Dr
Ste 204
Manhasset, NY 11030
Phone (516) 302-3112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1558023507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 COMMUNITY DR STE 204",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303820",
            "telephone_number": "516-627-8400",
            "fax_number": "516-627-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 COMMUNITY DR STE 204",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303820",
            "telephone_number": "516-627-8400",
            "fax_number": "516-627-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "SYED RAZA",
        "authorized_official_middle_name": "HASNAIN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "516-627-8400"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "goldendental@optonline.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "444 Community Dr Ste 204",
            "city": "Manhasset",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110303820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Golden Dental Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.